腹腔镜技术在腹部闭合性损伤中的应用

目的探讨腹腔镜技术在腹部闭合性损伤的治疗中的应用效果。方法选取2015年1月至2015年5月收治的闭合性腹部损伤患者86例,根据治疗方式分为腹腔镜手术组(64例)和中转开腹手术组(22例)。采用SPSS 20.0进行分析处理,术后并发症发生率采用χ2检验;手术时间、术中出血量、住院时间和住院费用采用(x珋±s)表示并行t检验。以P0.05为差异有统计学意义。结果腹腔镜手术组手术时间、术中出血量、住院时间、住院费用均显著低于中转开腹手术组(t=6.531,t=2.378,t=2.356,t=8.569,P0.05或P0.01)。腹腔镜手术组术后并发症发生率3.13%(2/64)显著低于中转开腹手术组36.36%(8/22)(χ2=9.565,P0.01);出院时,腹腔镜手术组生活质量各维度显著高于中转开腹手术组(t=2.311,t=2.265,t=2.253,t=2.297,P0.05)。结论对于符合腹腔镜手术适应证的腹部闭合性损伤患者,积极开展腹腔镜手术,具有手术时间短,出血量少、住院相关费低的优势,应严格控制中转开腹率,提高其应用率。

Laparoscopic techniques in the treatment of blunt abdominal trauma

Objective To investigate the clinical outcomes of laparoscopic technique in treatment of blunt abdominal trauma . Methods 86 patients with blunt abdominal trauma treated from January 2015 to May 2015 in our hospital were divided into a laparoscopic surgery group (64 patients) and a conversion to open operation group (22).Data analysis was performed using SPSS 20.0 software.The incidence of postoperative complications was examined using the Chi-square test.Operation time, bleeding volume, hospital stay, and medical cost were expressed as mean ±SD and examined by Student ’s t test.P<0.05 was considered statistically significant . Results The operation time , bleeding volume , hospital stay , and hospita cost in the laparoscopic surgery group were significantly lower than those in the conversion to open operation group (t=6.531, t=2.378, t=2.356, t=8.569 respectively;P<0.05 or P<0.01).The post-operative complication occurrence rate was 3.13%(2/64) in the laparoscopic surgery group , which was sig-nificantly lower than 36.36%(8/22)in the conversion to open operation group (χ2 =9.565, P<0.01). The quality of life of patients in the laparoscopic surgery group was significantly higher than that of the conversion to open operation group (t=2.311, t=2.265, t=2.253, t=2.297 respectively; P<0.05). Conclusion For patients with blunt abdominal trauma ,laparoscopic surgery is indicated .This operation is characterized by shorter operation time ,less bleeding volume , short hospital stay , and low cost .But the rate of conversion to open operation should be strictly controlled .